HomeMy WebLinkAbout07050236 Application
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r ~j\ CttyofCarmel/Clay Town~ Permlt#. u-J A,~'-ll
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BUILDER
OF
RECORD:
NAME:
STREET ADDRESS:
PROPERTY
OWNER:
NAME:
STREET ADDRESS:
LOCATION
& PROJECT
INFO:
SEWER UTlUTY
PROVIDER:
PHONE:
FAX:
STATE:
ZIP:
PHONE:
FAX:
CITY:
STATE:
ZIP:
ZONING:
SQUARE /) t--I J J r--
FOOTAGE: o'l / "f\.J
.LN. 1!103J.
0'8/ /71
rJ!(![lU . PliO IlUndu/){j
fA
SUbject t~r;,.,D FOR C
" 109
TYPE OF IMPR~EN1f:S"I~t() il 0
~ NEW sVltJz:wA OF COt\tJ~
o ROOM ADDrrIl)tI(S)~!.,. A" r
o PORCHADDITION(S) "l!\.tL/C
o DECKADDmON(S) INOI
o REMODEL w ~ plumbing co
Basement Finish only.
o ACCESSORY BUILDING QI) International Residential Code w /Indiana Amendments
o DETACHED GARAGE .. .
o ATTACHED GARAGE 0 Un,fonn Plumbing Code w/Ind,ana Amendments
o DEMOLITION I
FOUNDATION TYPE: (Check all that applv for the new
construction area) I
WATER UTIliTY /l
PROVIDER: G~
NAME OF UTILITY EXCAVATION CONTRAanR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DAlE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
~TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_VLN
_V-A-N
TAX MAP PARCEL #:
Manufactured
Trusses:
-LV_N
_V$N
o
~
CRAWLSPACE
o POST &
BEAM _PIER
Sump Pump:
SLAB
o BASEMENT (WALKOUT:_V_N)
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences within 180
days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration time frames for beginning and
completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana - 1993" (Z'
289) and amendments, adopted under authority of r.c 36~7 et seq, General Assembly of the State of lndiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
OCCl.l ancyhas been issued by the Department of Community Services, Carmel, Indiana. . iC. /} /J -0 7
, . C JflffNAJO^, HLAM/-fA /AI V 0\,7)
Signature of Owner or Au orized Agent Print Date
OFFICE USE ONLY: ********* ******************** *~~** ************* * ***1*** ********(5*************. ***
ECTlONS REQUIRE ' Filing Fees: IJ 7'3 ' _5
?-. 'til, so
Cert. of Occupancy: ,')S. SO
P.R.I.F.: ......~7A 7 ,f) 0
~9t !J,,_,o;1~,SO
Fee Rece,ved bv / if- ~~~/ ~
Upper Footing Lower Footing
~
# Charged Re-
Reviews
Base Inspections:
Additional Fees
Reviewed/Approved: Dept. of Community Services
S:PermltsjFormsjILP RESIDENTIAL
(Date)